肥厚型梗阻性心肌病患者行经心尖室间隔心肌旋切术的护理

doi:10.3761/j.issn.2096-7446.2026.03.014

Chinese Journal of Emergency and Critical Care Nursing ›› 2026, Vol. 7 ›› Issue (3): 328-330.doi: 10.3761/j.issn.2096-7446.2026.03.014

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Nursing care for patients with hypertrophic obstructive cardiomyopathy undergoing transapical beating-heart septal myectomy

ZHU Xujing¹(), CHEN Xia¹, HUANG Aoli¹, FENG Jiehui²^,^*(), LI Shaoling³

¹ Department of Cardiac and Vascular Surgery， the First Affiliated Hospital，School of Medicine，Zhejiang University， Hangzhou 310000， China
² Department of Nursing， the First Affiliated Hospital，School of Medicine，Zhejiang University， Hangzhou 310000， China
³ Department of Cardiovascular Medicine， the First Affiliated Hospital，School of Medicine，Zhejiang University， Hangzhou 310000， China

Received:2025-04-25 Online:2026-03-10 Published:2026-03-02
Contact: *FENG Jiehui，E-mail：1503026@zju.edu.cn

Abstract

Abstract:

This study summarized the perioperative nursing experience of five patients with hypertrophic obstructive cardiomyopathy undergoing transapical beating-heart septal myectomy. In response a high preoperative risk of sudden cardiac death，the need for specialized bowel preparation，stringent postoperative volume management，elevated complication risks，and the necessity for tailored discharge planning，the following nursing measures were implemented. Those included risk-stratified preoperative interventions to ensure safe transition to surgery，optimized ultrasound-guided bowel preparation to achieve a clear surgical field，titrated volume management after surgery to maintain hemodynamic stability，a multi-dimensional early warning system for timely complication detection，and individualized discharge education to support recovery and improve quality of life. All five patients recovered successfully and were discharged. At one-month follow-up，five patients showed a significant decrease in left ventricular outflow tract pressure compared to preoperative levels，with overall good condition.

Key words: Apical Hypertrophic Cardiomyopathy, Septal Myectomy, Perioperative Care, Cardiac Rehabilitation

ZHU Xujing, CHEN Xia, HUANG Aoli, FENG Jiehui, LI Shaoling. Nursing care for patients with hypertrophic obstructive cardiomyopathy undergoing transapical beating-heart septal myectomy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 328-330.

References 6

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Nursing care for patients with hypertrophic obstructive cardiomyopathy undergoing transapical beating-heart septal myectomy

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